Heads for dermatology treatment

• US 7,077,840 B2
• Filed: 10/21/2002
• Issued: 07/18/2006
• Est. Priority Date: 05/15/1997
• Status: Expired due to Fees

• Current Assignee: Palomar Medical Technologies Incorporated (Hologic Incorporated)
• Original Assignee: Palomar Medical Technologies Incorporated (Hologic Incorporated), The General Hospital Corporation (Mass General Brigham, Inc.)
• Inventors: Altshuler, Gregory B., Anderson, R. Rox
• Primary Examiner(s): GIBSON, ROY DEAN
• Application Number:
  US10/274,582
• Publication Number:
  US 20030055414A1
• Time in Patent Office: 1,366 Days
• Field of Search: 606/2, 606/9, 606/13, 606 16- 19, 606/1, 606/15, 607 88- 94
• US Class Current: 606/9
• CPC Class Codes: A61B 18/203 applying laser energy to the outside of the body
• CPC Class Codes: A61B 2018/00005 Cooling or heating of the probe or tissue immediately surrounding the probe
• CPC Class Codes: A61B 2018/00041 Heating, e.g. defrosting
• CPC Class Codes: A61B 2018/00458 Deeper parts of the skin, e.g. treatment of vascular disorders or port wine stains
• CPC Class Codes: A61B 2018/00476 Hair follicles
• CPC Class Codes: A61B 2090/065 for measuring contact or contact pressure
• CPC Class Codes: A61N 5/0617 Hair treatment

Abstract

Methods and apparatus for dermatology treatment are provided which involve the use of continuous wave (CW) radiation, preheating of the treatment volume, precooling, cooling during treatment and post-treatment cooling of the epidermis above the treatment volume, various beam focusing techniques to reduce scattering and/or other techniques for reducing the cost and/or increasing the efficacy of optical radiation for use in hair removal and other dermatological treatments. A number of embodiments are included for achieving the various objectives indicated above.

Claims

1. A dermatologic treatment applicator, comprising:

a radiation source configured and arranged to deliver radiation to an area of skin;

a head comprising a thermally conductive block arranged such that it passes over a segment of the area of skin prior to irradiation of the skin segment by the radiation source, when the head is moved in a first direction; and

a thermal component configured and arranged to cool the thermally conductive block, wherein the thermally conductive block comprises a skin contacting surface made of a metal.

2. The applicator of claim 1, further comprising a channel configured and arranged to receive the radiation from the radiation source and deliver the radiation to the area of skin.

3. The applicator of claim 2, wherein the radiation is pulsed.

4. The applicator of claim 1, wherein the thermally conductive block has a portion configured and arranged to pass over the segment of the area of skin after the radiation from the radiation source, when the head is moved in the first direction.

5. The applicator of claim 2, further comprising a handle configured and arranged to move the head across the area of skin.

8. The applicator of claim 2, wherein the channel comprises a waveguide.

14. The applicator of claim 1, wherein the radiation is substantially coherent.

16. The applicator of claim 1, 6, 9, 10, or 15, wherein the thermally conductive block is configured and arranged to retroreflect a scattered portion of the radiation back into the area of skin.

17. The applicator of claim 1, 6, 9, 10 or 15, wherein the head is configured and arranged such that, at a selected time, the radiation is projected onto a first segment of a skin and the thermally conductive block contacts a second segment of the area of skin, the first segment and the second segment being distinct.

26. The applicator of claim 1, 6, 9, 10, or 15, wherein the block further comprises a metal plate.

6. A dermatologic treatment applicator, comprising:

a radiation source configured and arranged to deliver radiation to an area of skin;

a head comprising a thermally conductive block arranged such that it passes over a segment of the area of skin prior to irradiation of the skin segment by the radiation source, when the head is moved in a first direction;

a thermal component configured and arranged to cool the thermally conductive block; and

a channel configured and arranged to receive the radiation from the radiation source and deliver the radiation to the area of skin, wherein the channel is configured and arranged to contact the area of skin.

7. The applicator of claim 6, further comprising a thermal component for cooling the channel, whereby the channel removes heat from the area of skin as the channel moves across the area of skin.

9. A dermatologic treatment applicator, comprising:

a radiation source configured and arranged to deliver radiation to an area of skin;

a head comprising a thermally conductive block arranged such that it passes over a segment of the area of skin prior to irradiation of the skin segment by the radiation source, when the head is moved in a first direction;

a thermal component configured and arranged to cool the thermally conductive block; and

a channel configured and arranged to receive the radiation from the radiation source and deliver the radiation to the area of skin, wherein the channel comprises a lens.

10. A dermatologic treatment applicator, comprising:

a radiation source configured and arranged to deliver radiation to an area of skin;

a head comprising a thermally conductive block arranged such that it passes over a segment of the area of skin prior to irradiation of the skin segment by the radiation source, when the head is moved in a first direction;

a thermal component configured and arranged to cool the thermally conductive block; and

a mechanism for measuring the rate at which the head is moved across the area of skin.

11. The applicator of claim 10, further comprising controls, responsive to said mechanism, for determining if the head is moving across the area of skin at a rate within a predetermined range.

12. The applicator of claim 11, wherein the controls provide a selected output in response to a determination that the head is moving at a rate outside of said range, the output being one of an audio, tactile and visual output.

13. The applicator of claim 11, including controls responsive to said mechanism for determining if the head is moving at a rate below a selected threshold and terminating the delivery of radiation to the area of skin in response to a determination that the head is moving at a rate below the threshold.

15. A dermatologic treatment applicator, comprising:

a radiation source configured and arranged to deliver radiation to an area of skin, wherein the radiation is substantially incoherent;

a head comprising a thermally conductive block arranged such that it passes over a segment of the area of skin prior to irradiation of the skin segment by the radiation source, when the head is moved in a first direction; and

a thermal component configured and arranged to cool the thermally conductive block.

18. A dermatologic treatment applicator, comprising:

a radiation source configured and arranged to deliver radiation to an area of skin;

a head comprising a thermally conductive block arranged such that it passes over a segment of the area of skin prior to irradiation of the skin segment by the radiation source, when the head is moved in a first direction; and

a thermal component configured and arranged to cool the thermally conductive block, wherein the thermally conductive block is arranged such that it does not pass over the segment of the area of skin after the radiation from the radiation source, when the head is moved in the first direction.

19. A method of treating an area of skin, comprising:

projecting radiation onto the area of skin such that a plurality of segments of the area of skin are sequentially irradiated by the radiation; and

removing heat by conduction from each of the plurality of segments of the area of skin by moving a block across the area of skin, the step of removing heat from a given segment of the area of skin occurring before the step of projecting radiation onto the given segment.

20. The method of claim 19, wherein the step of projecting radiation includes moving a channel over the area of skin.

21. The method of claim 19, wherein the step of removing heat is achieved by moving a planar surface of the block along the area of skin.

22. The method of claim 19, further comprising a step of pulsing the radiation, such that the area of skin is irradiated by pulsed radiation.

23. The method of claim 19, further comprising the step of focusing the radiation.

24. The method of claim 20, wherein the channel is in contact with the area of skin.

25. A dermatologic treatment applicator, comprising:

a radiation source configured and arranged to deliver radiation to an area of skin;

a head comprising a thermally conductive block arranged such that it passes over a segment of the area of skin prior to irradiation of the skin segment by the radiation source, when the head is moved in a first direction; and

a thermal component configured and arranged to cool the thermally conductive block, wherein the thermally conductive block includes a planar surface arranged to contact the area of skin and is made of a metal.